HomeMy WebLinkAboutPermit Building 1983-9-21
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"CO~MERCIAL/lNDUSTRIAL SP~'NGFIELD JOB NUMBER 8a~-..J~
" PERMIT APPLICATION ~ - '~- --
INSPECTION LINE: 726,3769
225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726,3759
LOCATION OF PROPOSED WORK: TJ.,=.- CL"tt2.t Z. f( 4Z?3 tftr'K - LI ~"'I!-"'.c JI OV'.
l' qt'll .~
ASSESSORS MAP' I J n:) -:<::2 :<'::l. TAX LOT- 0 I '1 V C)
"12' Ie. ( I /) auA f.'C7 ..,.-/ ~DN C::::-yA.f'^",&.E;
OWNER:]~~04 .0::-1 /fVllle.iI'Ic.dl- r./G2J'_~'T.o_J7"a?- '-lte-~ PHONEf.?''''': 275-1Cf/O
ADDRESS: Pt). 1.3:,)\ ~4cO 0 ,
CITY' 1ii1J..'7"'~ STATE: ~_GN'1 ZIP:<:frn:,!-&.4oo
DESCRIPTION OF WORK: Io(~.:t/! /l.r//f. ..t",,~~ e.x.,,>f,; ~16. ~~.j.. W.:t/l
NEW REMODEL X ADDITION . DEMOLISH OTHER VALUE: .l2l~-O'D d
NAME
ARCHITEC~.,...l ~1U'tb'J~
~Dr:J,SS
/JJ. 36' N.tE#. ~ ~..iI.4J 0....
16~ 1 CONST
ADDRESS ..~""" J CONTRACTOR'
8330 ~,.. cl.JT~'? ~j e3Z30
I
PHONE
ZYf-75ZCc.
CONTRACTOR'S NAME
GENERAl' $.1. ~,"IV~l4q~
\...-'
PLUMBING' j4(nfe.
MECHANICAl' Ilcrne.- ,
ELECTRICA" Ch~J ~I'
EXPIRES
PHONE
1?.34 -443 4
~.
I
a./.""C-
~
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
..n
ccc
I
~HARGE-I
Single Fixture
Relocated Bldg,
lnew fix, addU)
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
cuct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA'
- OFFICE USE -
LANO USF'
HANDICAP ACCESS:
FLOOD PLAIN'
. OF BLDGS:
. OF UNITS'
ZONING'
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIE:'"
HEAT SOURCE:
WATER HEATER:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
X
X
X
SQ, FTG OTHEFl
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
7<~?
RCPTN
/p::j'~
DATC
9-:q- -.:;J~
/?_- :
c;,~'"
7/
I DEMOLITION
BY
.-;;>
I BUILDING PERMIT
15% State
Surcharoe
1 MECHANICAL
15% State
SurcharQe
I PAVING
38.S'e>
/.9"8
I PLUMBING
5% State
Su rcharoe
FENCE
VALUE $
SI DEWALK
FT,
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
~?J. '7'3
//./1.
I CURBCUT
FT,
'. .
, . I
TOTAl. P'ERMIT FEES
EXCLUDING ELECTRICAl
6S. $16
· REQUIRED INSPECTIONS . .
It Is the're~POnSibilitY of the permit holder to see that all inspections are made at the proper time. To request an Inspection, call-'
726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
'I
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
X ~UMBING,
, 4l,ECTRI~ &
M ECHANltfAL: No work Is to
be covered until these
inspections have been made
and aP.L>roved, -7'<.
I.PC~~-
ATTIC DRAFT STOPS &
CURTAIN WALLS
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all. steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materIals and before
framIng Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
A
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
\I
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board interior wall covering is
applied, .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
draInage lines. To be made
prior to covering or f1lling
trenches.
SPRAYED ON
FIREPROOFING: U.BC,
Standards 43,8,
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing,
LATH AND lOR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, Is in
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UB.C.
STDS, 25,10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prIor to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavatIng complete and form
work and sub-base material in
place.
.In addition to the Inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code:
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverIng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
v
FINAL ELECTRICAL
,
y
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made untll a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDiTIONAL COMMENT'>'
---
PLANS REVIEWED BY c~"'~~;7 DAT~ 9-:;>/-9:=3
. C/
By signature, I state and agree, that I have carefully examined the completed application and do hereby c~rtify that all Information
herein Is true and correct, and I further certify that any and all work performe-d shall be done In accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required i ctlons are requested at the proper time, that project address is readable from the
street, that the permit car the front of the property, and the approved set of plans will remain on the site at all
times during constr
Date
'r-tr-'t3
VA~IDATION:
AMOUNT RECEIVED: ~ S""'__YL
RECEIPT #: Ip "32.,:'"
DATE PAID' 9-2/.q'7
RECEIVED BY: ~~
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B. J. OUMMING..
2330 S.E. Clatsop ~t
PORTI.AND, OREGON 97202
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2330 S.E. Clatsop Street
PORTLAND, OREGON 97202
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